Sponsor a Hamper Program Registration Form

*Required fields.
Sponsorship Type:*
Individual/Family Company/ Organization/ Group
First Name:*
Last Name:*
Street Address:*
City:*
Province:*
Postal Code:*
Daytime Phone:*
Evening Phone:
Cell Phone:
E-mail Address:*
Please list the languages that you speak:
Number of hampers you wish to sponsor:*
Preferred area of Ottawa:  East    |  Central    |  West    |  South    |  No preference
Wish to help family of: 1-2 people   | 3-5 people   | 6+ people   | Seniors   | No preference
How did you hear about the sponsor-a-hamper program?
If other:
Comments:
NOTE: The Caring and Sharing Exchange makes every effort to accommodate, but cannot guarantee, specific requests.

* I understand as a condition of my involvement as a HAMPER SPONSOR of the Christmas Exchange Program of the Caring and Sharing Exchange that I am expected to maintain this confidentiality during and after my involvement.

I agree that any information about clients secured by me, or available to me, in the pursuit of my duties with the Caring and Sharing Exchange is of a confidential nature and I hereby undertake to respect that confidentiality and to take all reasonable precautions to safeguard it.

   
Thank you for making this Christmas a special one for individuals and families in need in our community!

The Caring and Sharing Exchange is a Registered Charity. Our Charitable Registration Number is 13097 9172 RR0001.

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